Active NPI
Ramon Eduardo Mendez, M.D.
- Nephrology Physician
- Woodbridge, VA
National Provider Identifier
1235185026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01011045435
- Practice address
- 2296 Opitz Blvd
Suite 260
Woodbridge, VA 22191-3300 - Phone
- (571) 285-2614
- Fax
- (571) 552-4111
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 01011045435 | VA | Primary |
Addresses
Primary practice location
2296 Opitz Blvd
Suite 260
Woodbridge, VA 22191-3300
Mailing address
9109 Oak Chase CT
Fairfax Station, VA 22039-3333
Phone (571) 212-2763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6025463 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01011045435 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Nephrology Associates, L.L.P. | Nephrology | Current | Accepting new patients |
Locations
4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556
2030 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Rockville, MD
- NPI 1124193479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1235185026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 OAK CHASE CT",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393333",
"telephone_number": "571-212-2763",
"fax_number": "571-552-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 OPITZ BLVD",
"address_2": "SUITE 260",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913300",
"telephone_number": "571-285-2614",
"fax_number": "571-552-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "RAMON",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "01011045435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6025463",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.